| NPI | 1609063833 |
|---|---|
| Doing Business As | JERICHO ROAD FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MYRON L GLICK CEO 716-881-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2011-12-07 |